The MBS Items tab is available when a compatible billing system is used and correctly configured in CAT4. The details on how to configure your preferences to collect billing data as well as clinical data can be found here: Choosing and configuring your Billing System

The data is displayed as a bar graph of:

  • Count of patients with MBS items recorded
  • Count of patients with no MBS items not recorded
  • Count of patients with After Hour MBS Claims
  • Count of patients with MBS Telehealth and Nurse Practitioner
  • Count of patients with Covid-19 temporary MBS items introduced during the Covid-19 pandemic

The MBS items are extracted from your billing system.

Where relevant, items specific for 'other providers' have been added. Other providers are non vocationally registered clinicians who can perform the same services (health assessments, care plans and others) but have to use different item numbers from vocationally registered clinicians. These items are listed under the relevant activity and are treated the same, as the patient has received the same service.

 

Please note that we are reporting rejected items on the 'count' tab of the report, as it is assumed that the work (health assessments, care-planing and other) has been performed. This is likely to change with an upcoming review of the MBS item reports.

 

 


 


Notes

  1. You can use the Results filter to find the most recent MBS items that have been billed in a specific time period.
  2. Old item numbers are still collected and displayed in the appropriate bar segment of the graph. Refer to the table below. The item number will be viewable via the Reidentify report.
  3. Old items - Diabetes SIP and Asthma COC are displayed in the report to represent past data.
  4. MP = Medical Practitioner, NP = Nurse Practitioner, PN = Practice Nurse, AHW = Aboriginal Health Worker
  5. Other Provider - non vocationally registered clinicians


MBS Items currently collected are:

 

Old item numbers still collected

Health Assessment 75+
where Health Assessment includes item numbers: 701, 703, 705, 707, 224, 225, 226, 227, 10986

700 – 75+ Health Assessment
702 – 75+ Health Assessment (home)

Health Assessment 45-49
where Health Assessment includes item numbers: 701, 703, 705, 707, 224, 225, 226, 227,10986

717 – 45-49 Health Assessment

Health Assessment Other
where Health Assessment includes item numbers: 701, 703, 705, 707, 224, 225, 226, 227,10986

This can cover a number of case where health assessments are performed for any of the following
patient groups:

  • a type 2 diabetes risk evaluation for people aged 40-49 years with a high risk of developing type 2
    diabetes as determined by the Australian Type 2 Diabetes Risk Assessment Tool
  • a comprehensive medical assessment for permanent residents of residential aged care facilities
  • a health assessment for people with an intellectual disability
  • a health assessment for refugees and other humanitarian entrants

 

715, 228, 92004, 92016, 92011, 92023 (55+ Indigenous Health Assessment)

704/706 – 55+ AHC

715, 228, 92004, 92016, 92011, 92023 (15-54 Indigenous Health Assessment)

710 – 15-54 AHC

715, 228, 92004, 92016, 92011, 92023 (<15 Indigenous Health Assessment)

708 – CHC

721, 229, 92024, 92068, 92055, 92099 – CDM - GP Management Plan

 

723, 230, 92025, 92069, 92056, 92100 – CDM - Team Care Arrangement

 

732, 233, 92028, 92072, 92059, 92103  – CDM Review

725 – GP Management Plan Review
727 – Team Care Arrangement Review

10987 - PN/AHP review for indigenous patients
10997 - PN/AHP review for patients with a chronic condition

900, 245 – DMMR

 

903, 249 – RMMR

 

GP MH Care Plan – includes item numbers:
2700, 2701, 2715, 2717, 92112, 92124, 92113, 92125, 92116, 92128, 92117 , 92129

272, 276, 277, 92118, 92130, 92119, 92131, 92120, 92132

2702 – GP MH Care Plan
2710 – GP MH Care Plan

2712, 92114, 92126 – GP MH Care Plan Review

 

2713, 92115, 92127 – GP MH Care Consultation

 

Diabetes SIP 

2517, 2518, 2521, 2522, 2525, 2526, 2620, 2622, 2624, 2631, 2633, 2635, 259, 260, 261, 262, 263, 264

Asthma COC 

2546, 2547, 2552, 2553, 2558, 2559, 2664, 2666, 2668, 2673, 2675, 2677, 265, 266, 268, 269, 270, 271

Respiratory - includes items

11506, 11503,11505,11507,11508,11512 

 

AH Urgent Soc – includes items

 597, 598

AH Urgent Unsoc – includes items
599, 600

 

AH Non-Urgent – includes items
5000, 5020, 5040, 5060, 5200, 5203, 5207, 5208
5003, 5010, 5023, 5028, 5043, 5049, 5063, 5067, 5220, 5223, 5227, 5228, 5260, 5263, 5265, 5267

 

MP Telehealth at consulting room - includes items

2100, (attendance), 2126 (attendance < 20mins), 2143 (attendance > 20 mins), 2195 (attendance > 40 mins), 812, 829,

867, 873, 885, 892


MP Telehealth not at consulting room - includes items

2122 (attendance), 2137 (attendance < 20mins), 2147 (attendance > 20 mins), 2199 (attendance > 40 mins), 827, 868,

869, 881, 891


PN or AHW - includes items

10983 (attendance)


PN or AHW at RACF - includes items

10984 (attendance)


NP Telehealth - includes items

82221 (attendance > 20 mins), 82222 (attendance > 40 mins)


NP Telehealth at RACF - includes items

82223 (attendance < 20mins), 82224 (attendance > 20 mins), 82225 (attendance > 40 mins)


NP Consult - includes items

82200 (attendance), 82205 (attendance < 20mins), 82210 (attendance > 20 mins), 82215 (attendance > 40 mins)

91192, 91193, 91178, 91189, 91179, 91190, 91180, 91191


Heart Health Check - includes item 699 or 177
Covid-19 GP Telehealth items include 91790, 91800, 91801, 91802
Covid-19 GP Telephone items include 91795, 91809, 91810, 91811
Covid-19 Other Provider Telehealth items include 91792, 91803, 91804, 91805, 91806, 91807,91808, 91794
Covid-19 Other Provider Telephone items include 91797, 91812, 91813, 91814, 91815, 91816, 91817, 91799
Covid-19 Other Provider Nurse Practitioners telehealth items include 91192, 91178, 91179, 91180, 91193, 91189, 91190, 91191

Covid-19 Testing include 69485, 69494, 69495, 69496


Covid-19 Medication Assessment 93716, 93717


Some item numbers have a follow up item number attached. For example, patients who have had a 2710 (Mental Health Plan) should have a follow up 2712 (Review of Mental Health Plan). You are able to identify patients that have not had the follow up item number by using selecting item 2710 from the recorded tab and item 2712 from the not recorded tab and using the 'Report' button to do a cross-tabulation.